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May 23, 2005
Globe rupture following penetrating keratoplasty. How often, why, what can we do to prevent it?
American Journal of Ophthalmology May 2005, Page 958
This was a case-controlled study to compare the postsurgical rates of globe rupture after penetrating keratoplasty (PKP), phacoemulsification (PCE), and extracapsular cataract surgery (ECCE). The incidence of globe rupture after PKP (5.8%) was statistically significant higher than PCE (0%, P < .0001) and ECCE (0.45%, P = .005). The original indication for PKP did not influence the rupture rate. The period of greatest risk was during the first postoperative month, during which time 37.5% of all cases occurred, and during the first month after suture removal. Fifty percent of ruptured globes after PKP had a final visual outcome of hand movement or worse. Eyes with PKP have a lifetime increased risk of globe rupture.
Posted by mehdi khanlari at May 23, 2005 11:18 PM